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Professional paper

Modified Extensive Anterior Vaginal Wall Repair for Cystocoele

Maksim Valenčić ; Department of Urology, University Hospital of Rijeka, Rijeka, Croatia
Anton Maričić ; Department of Urology, University Hospital of Rijeka, Rijeka, Croatia
Romano Oguić ; Department of Urology, University Hospital of Rijeka, Rijeka, Croatia
Dražen Rahelić ; Department of Urology, University Hospital of Rijeka, Rijeka, Croatia
Stanislav Sotošek ; Department of Urology, University Hospital of Rijeka, Rijeka, Croatia
Antun Gršković ; Department of Urology, University Hospital of Rijeka, Rijeka, Croatia


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Abstract

We describe a new transvaginal technique for cystocoele repair. We prospectively evaluated patients with moderate and high-grade cystocoele who underwent repair with the new transvaginal repair between 2000 and June 2009. Preoperative evaluation included history and physical examination using the Pelvic Organ Prolapse Quantification, urine culture, residual urine measurement, urodinamycs and cystoscopy. We performed the repair in 76 patients with a mean age of 65.24 years (range, 36 to 84 years), wit anatomical cure in 72 (95%) patients. Four (5%) patients had recurrent cystocoele, 3 (4%) patients claimed residual sensory urgency and 4 (5%) stress urinary incontinence (SUI) after the operation. The operation is safe, simple, and provides good anatomic results with minimal complications.

Keywords

cystocoele; anterior colporaphy; urodinamycs

Hrčak ID:

51655

URI

https://hrcak.srce.hr/51655

Publication date:

20.4.2010.

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